DR. RICHARD C. HAN (NPI# 1124070453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124070453 |
| Entity Type | Individual |
| Full Name | DR. RICHARD C. HAN |
| Credential | M.D. |
| Practice Address |
13995 W Statler Blvd Surprise AZ 85374-5501 |
| Practice Telephone | 6234783100 |
| Practice Fax Number | 6234783300 |
| Mailing Telephone | 6234783100 |
| Mailing Fax Number | 6234783300 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 51044 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962687 | Richard Han | Dentist | 1795 W Stadium Blvd, Ann Arbor, MI 48103-5290 | 2005-06-16 |
| 1578799276 | Richard Jinwhan Han | Orthopaedic Surgery | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2009-06-09 |
| 1083864615 | Richard Roger Han | Dentist | 11155 International Dr, Rancho Cordova, CA 95670-6096 | 2008-09-18 |
| 1255452918 | Richard Eun Han | Anesthesiology | 1500 E Medical Center Dr, 2nd Floor Taubman Ctr Recp G, Ann Arbor, MI 48109-0222 | 2007-04-02 |
| 1154426385 | Richard O. Han | Internal Medicine | 125 Sw 11th St, Ocala, FL 34471-0967 | 2006-09-13 |
| 1821061466 | Richard Han | Internal Medicine | 5832 Beach Blvd Unit 214, Buena Park, CA 90621-5501 | 2006-02-13 |
| Street Address |
13995 W STATLER BLVD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622867 | Jacqueline Kristina Dumagpi | Family Medicine | 13995 W Statler Blvd, Surprise, AZ 85374-5501 | 2020-08-31 |
| 1598112831 | Richard Lee Averitte Jr., Pllc | Non-Pharmacy Dispensing Site | 13995 W Statler Blvd, Suite 150, Surprise, AZ 85374-5501 | 2016-05-17 |
| 1538309133 | Leszek Grabowski | Obstetrics & Gynecology | 13995 W Statler Blvd, Surprise, AZ 85374-5501 | 2009-02-23 |
| 1346414422 | Teresa Dean Malcolm | Obstetrics & Gynecology | 13995 W Statler Blvd, Surprise, AZ 85374-5501 | 2008-04-18 |
| 1689869182 | Afshin Malaki | Obstetrics & Gynecology | 13995 W Statler Blvd, Banner Surprise Health Center, Surprise, AZ 85374-5501 | 2007-09-09 |
| 1225129364 | Sharen S Brown | Nurse Practitioner | 13995 W Statler Blvd, #200, Surprise, AZ 85374-5501 | 2006-09-27 |
| 1659303360 | Christopher N Bressler | Family Medicine | 13995 W Statler Blvd, Suite 200, Surprise, AZ 85374-5501 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614466 | Kayla Leanne Cantu | Pediatrics | 15264 W Brookside Ln Ste 155, Surprise, AZ 85374-3997 | 2019-11-26 |
| 1396024576 | Young Arizona Pediatrics LLC | Pediatrics | 15653 N Reems Rd Ste 110, Surprise, AZ 85374-9541 | 2011-08-05 |
| 1518995737 | Brian Lawrence Young | Pediatrics | 15653 N Reems Rd, Suite 110, Surprise, AZ 85374-9541 | 2006-06-28 |
| 1811980360 | Heather I Gosnell | Pediatrics | 15264 W Brookside Lane, Suite155, Surprise, AZ 85374-3989 | 2005-08-30 |
| 1295739985 | Angela Johansson | Pediatrics | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2005-06-09 |
| 1891226585 | Ricki Diamond | Pediatrics | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2017-03-23 |
| 1518386606 | Hasita Patel | Pediatrics | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2014-04-16 |
| 1922425388 | Matthias Kochmann | Pediatrics | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2014-03-24 |
| 1003113531 | Paulina Elise Mariki-mhango | Pediatrics | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2011-02-18 |
| 1316262892 | Aashima Bansal | Pediatrics | 14239 W Bell Rd Ste 112, Surprise, AZ 85374-2470 | 2010-03-29 |
| Find all providers in SURPRISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.